| NPI | 1508370818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013351) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI SC0000000802715) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2024-01-10 |